Individual
DR. ERIC S BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.,F.A.C.D.
Contact information
Practice address
180 LIBRARY BLVD UNIT 101, PONTE VEDRA BEACH, FL 32082-2327
(904) 273-3001
(904) 273-9883
Mailing address
180 LIBRARY BLVD UNIT 101, PONTE VEDRA BEACH, FL 32082-2327
(904) 273-3001
(904) 273-9883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14265
FL
1223G0001X
General Practice Dentistry
Primary
DN14265
FL
Other
Enumeration date
07/20/2006
Last updated
01/22/2024
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